Name
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First Name
Last Name
Email
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Phone
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How did you hear about us?
Social Media
Animal Cottage
Leading Edge Vets
Friend Referral
Other
Dog's Name
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Dog's Age
Dog's Breed or Breed Mix
Has your dog shown any reactivity or aggressive behavior? If yes, they are likely not a candidate for a group class, but could benefit from a private class or consultation. You can complete the registration and Claire will reach out to discuss.
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My dog is in good health.
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Required Vaccinations: current on rabies and the distemper combo. Bordetella is highly recommended. List the dates below:
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Please include anything you'd like milestone to know about your dog.
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I hereby consent to my dog being the subject of the photographs and/or audiovisual recording and authorize Milestone Canine Consulting to use the same to be exhibited for educational purposes or marketing tools as still photographs, video or other similar media.
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By typing my name below, I confirm that my dog can remain calm in a space with other dogs and people.
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By typing my name below I acknowledge that I am voluntarily participating in a group dog class with Milestone Canine Consulting. Milestone Canine Consulting will exercise all necessary and proper care and precautions to keep all participant and dogs safe during training sessions in order to prevent injury to any person, property, other dog or person. However, because dogs are animals and may be unpredictable, Milestone cannot protect against every potential injury, risk or accident. This Release and Waiver are intended to shift the risk of participating in dog training to the Participant/Owner/Guardian of the dog participating in training. I acknowledge that I have had full opportunity to discuss any and all concerns I have regarding foregoing risks with Milestone and its authorized representatives. Participant agrees to hold harmless Milestone Canine Consulting from any and all claims of injury, loss, cost, expenses, or damage caused by the actions of Participant's dog during the course of training. I hereby accept and assume, without reservation, all risks associated with my participation in the class, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs involved; and the risks that saliva, water, food, and/or other debris may be present in the training area. I have read and understand Milestone Canine Consulting's policies, and agree to abide by them. As lawful consideration for participating in the training program, I, for myself, my heirs, next of kin, executors, administrators, legal representatives, successors and assigns (the “Releasing Party”), hereby waive, release, discharge and covenants not to sue and to indemnify, defend and hold harmless Milestone Canine Consulting, and their team members (the “Released Party”) from any and all injuries, losses, claims and damages to any person or persons of any nature its directors, officers, employees, agents, sponsors, organizers, volunteers or other representatives, their successors and/or assigns, (hereinafter collectively the “Releases”) from any and all liability to the Undersigned for any loss, harm, damage, claim, injury or accident to the person or property of the Undersigned, whether caused by any ordinary negligent act or omission of the Releases while the Undersigned or his/her dog is engaged in or participating in dog training or using any Trainer or Business facilities in connection therewith. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Further, Should the Releasing Party assert a claim to the contrary to what I have agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party. Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable. This foregoing release and waiver, and assumption of risk is intended to be as expansive, broad and inclusive as permitted by Wisconsin law.
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